Primary pancreatic leiomyosarcoma: a case report.
BACKGROUND
Leiomyosarcoma are malignant tumours of the soft tissues. It is most commonly found in the stomach, small intestine and retroperitoneum. Primary pancreatic leiomyosarcoma is extremely rare and only 22 cases have been reported in the literature since 1951. Its prognosis is poor and the palliative treatment is only aimed at symptomatic improvement.


METHODS
We report case of primary pancreatic leiomyosarcoma with liver metastases in a 73 year old man who presented with weight loss, epigastric pain, anorexia, abdominal fullness and obstructive jaundice. Histological examination and Immunohistochemical analysis of liver biopsy specimen confirmed the diagnosis of metastatic leiomyosarcoma. The patient died of disease 3 months after the initial diagnosis.


CONCLUSIONS
Leiomyosarcoma of the pancreas is an extremely rare malignancy with a poor prognosis. Treatment is aimed at symptomatic improvement and pain management.
Muhammad
Shams Ul Islam
SU
Department of Medical oncology, Churchill Hospital, Oxford, OX3 7LJ, UK. drmshams@hotmail.com.
Azam
Faisal
F
Zuzana
Stokes
S